Home

ergoline Rehabilitation System User Manual

Contents

1. ET E WED QR gt Q O j a EB y 3 Home Acknowledge Patient Setup Start Training Stop Training pump on pump off Patient Data ECG Training Compare Analysis Print Muster 122196 94 eg vt 53 Peter kh e 98 100 5 TER 115 504 ao eS s0 Max load emi 1 Es pay min mmHg JEN WP 1 01 38 Mark r 12 18 min Constant HR Williams 115 84 HR 101 S tesa 88 Christopher 96 so 4 100 100 A THR 155 24 so 4 Te om Tr load Fe IM t min mmHg ES 2 WP 1 01 38 Mark 0 L 1z 18 smi Constant Load Stark 126 82 89 E Fee lie 100 4 j E 96 A 100 4 100 n S THR 103 i Bra au a EX l e Max load DW 1 min T ImmHg 2 WP 1 01 38 Mark mm o e 2 18 min Constant HR E Sadowski 137 78 88 eo ig Thomas 97 THR 155 4 DW 1min mmHg WP 1 01 38 Mark min Interval Pfaff 118 79 OG z lw 4 Sabine 96 00 THR Ern o m bs Max load 5 ES DW 1 min E it es WP 1 01 38 Mark o min Constant HR echein 99 78 m 84 E ER 12 Karl 96 had A y THR js D L S Max load ES DW 1 min l p gt 6 WP 1 01 38 Mark 9 min Constant HR Holle 99 75 m Sp ee tz Maria 97 THR 100 pay t min d i 7 WP 1 03 38 Mark Imin Interval Meier 127173 HR 93 i e E 36 Petra 96 io 100 t lT THR 120 SE N Troad Tl W t min mmHg ai 8 WP 1 01 38 Mark o 6 12 18 min Constant Load FIGURE 4 5 INITIAL SCREEN OF TRAI
2. Running a Training Session Assigning Patients to Ergometers ASSIGNING TRAINING GROUPS CREATING A TRAINING GROUP Patient Setup Click New Group 4 Enter a group name such as Rehab III and confirm with OK The group name will appear in the Groups window 1 Click the group name 1 The Patients in Selected Group window displays positions 1 to 16 2 Select the position 2 Select the patient 3 and confirm with Add Patient 6 2 3 Patients search for Name ld Name mp Categon Last Training Imker Klauf Imker 03 02 2003 14 02 2003 Peg Lubba 03 0 20 25 04 2003 A Meier_Bernd12 S Reha 100 12 02 2003 Muster Peter Muster 27 0 2 10 02 2003 Mustermang Erich Mustermann Erich 02 04 2003 ire Pfaff_10 02 P003 26 04 2003 Sadowski 10 02 26 04 2003 Schein Karl 05 05 2003 Schick Bafbara Schick_10 02 2 25 04 2003 Schmidt Paola Schmidt 28 2 05 05 2003 Singer Helfhut Singer 03 0 20 21 01 2003 r Stark 12 02 2003 02 04 2003 Williams Cljristop williams 30 p5 13 07 2011 b New Patient E dit Patient mi Delete Patient Import GOT Request GD T Assign Patient Deassign Patient Deassign all Groups Reha Il Reha Koro Muster Peter Williams Christoper Stark Uwe Sadowski Thomas Pfaff Sabine Schein Karl 7 Holle Maria 8 Meier Petra OO amp I O 4 Pat
3. W kg power output per kg of body weight The following settings are possible Timeframe The training period is adjusted by means of the boxes from and to The parameters to view can be selected load as can the phase warmup training or V show recovery phase for which the parameters C Warmup Phase shall be displayed f Training Phase Recover Phase Others Weight Furthermore the trend data for weight and W kg wek g power output per kg of body weight can be selected 75 75 A N N 50 50 25 25 0 0 4 7 10 13 Timeframe load r heart rate blood pressure Others IV show IV show IV show Weight from 31 05 2011 13 26 45 Nr 1 DI C Warmup Phase C Warmup Phase C Warmup Phase to 15 07 2011 15 03 14 Nr 12 DI Training Phase Traiyhg Phase Training Phase Recovery Phase Rgfover Phase C Recovery Phase Show values Select training period FIGURE 5 2 SUMMARY GRAPH Select parameters and phase Select to show Select to view weight and W kg measuring values 40 Analyzing Training Sessions Export GDT Export CSV eraoline Note For load and heart rate the mean values in each phase will be displayed For blood pressure systolic diastolic either average or maximum BP values will be shown depending on the selected configuration see Average maximum BP values on page 48 If you select the Show values
4. The development of the new ergoline rehabilitation system ERS was able to draw on the experience of more than 250 installed ergoline rehabilitation systems Through intensive collaboration with many users therapists sports scientists and physicians a new modular system for controlled ergometer training was developed which meets all of the requirements listed The PC software assumes all of the patients predefined training management simultaneously documents all relevant data e g ECG heart rate training data and thus frees therapists from standard tasks greater attention can be paid to the patients But even in the case of the training equipment itself the ergoselect Reha ergometer the focus is on the patient Options for modular expansion and upgrades allow the equipment to be adapted to increasing demands e g automatic blood pressure measurement options for adjusting the saddle etc AN OVERVIEW OF THE MOST IMPORTANT PERFORMANCE FEATURES OF THE SOFTWARE e Control of up to 16 ergometers or treadmills e Clear display intuitive operation e Integrated patient and analysis database e Admission of new patients possible even during a training session in progress e he most important data of all patients are always visible e Access at any time to all relevant additional information even during a training session in progress Patient data diagnosis previous examinations ECG trends raining sessions stored earlier Comp
5. eraoline I ERS ergoline Rehabilitation System User Manual 201000111000 e Revision 1 0 English eraoline This manual was written with the utmost care Should you nonetheless find details that do not correspond with the system please let us know and we will correct the issue as soon as possible We reserve the right to modify the design and technical features of the device and are not bound by the information and illustrations provided in this manual All trademarks appearing in this document are trademarks of their respective owners Their protection is acknowledged No part of this manual may be reprinted translated or reproduced without the manufacturer s written permission This manual will not be automatically updated Please contact the manufacturer for the latest document revision ergoline GmbH Lindenstrasse 5 72475 Bitz Germany Tel 49 0 7431 98 94 0 Fax 49 0 7431 98 94 128 e mail info ergoline com http www ergoline com Printed in Germany 0123 Contents CONTENTS 1 1 1 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 1 10 2 1 2 2 3 1 3 2 3 3 4 1 4 2 4 3 44 5 1 5 2 5 3 5 4 5 5 6 1 6 2 eraoline niguitero PDC SE e eg 5 CE Marking JNTOMMa lO s su yan n5n a xn an wa ste n ne U aba hae aa Wl an Je he utor dr en 5 beda TT Dog rrr PE TU 1T T 5 REVISION HISTON eT 5 Ieper et 5 SLVIStIC CONVENTIONS i
6. 60 16 Watt IVT 100 20 Watt ad IVT 125 25 watt e PL S ae now Recovery Phase FIGURE 3 12 INTERVAL TRAINING SELECTING A PREDEFINED PROFILE Configuring an interval training protocol e Click Define training profile to open the configuration window Interval training Dr Williams Christopher 200 200 200 175 175 175 150 150 150 125 125 125 100 100 100 7 ze Graphic trend preview 50 50 50 25 25 25 pw fimin mmHg o 6 12 18 min m Define training profile Duration 60 B Duration s Repetitions FromStep Insert B 2 30 170 Overwrite 3 30 170 7 1 Delete Energy 578 kJ Description Pwe m Stored training profiles 7 LEAN DUELO MM sea training profiles lll F Repeat Pane for parameter Times 1 E From Step 1 5 CO nfiguration Constant load B Change load Y Iw Interval steps Description Load Save Cancel FIGURE 3 13 CONFIGURING AN INTERVAL TRAINING PROTOCOL 235 eraoline Training Preparation Configuring Training Protocols e At Duration enter the length of the interval in 10 s increments e Select the Constant load option and set a load for the training period selected at Duration e Select the Change load option and set a load increment by which the preceding load Will be changed for the training period selected at Duration e Select the Repeat check box and set the nu
7. elas n sl s fefefe an ere Ielslsla os papel as e rano oo over vorm Js je o se 20 01 2003 aris moe s re qma er mor izis s e e s 18 eet aa se fefefe eve Les ves m Te 15 01 2003 a 09 14 20 41 E oz sa 84157 127 162 E ere fest e E e 109 se 108 780 129 70 126 71 14 01 2003 i SR 10 01 2003 2036 11 08 ergoline Reha System 2 6 Summary Report 22 07 2011 Page 1 of 1 FIGURE 5 8 SUMMARY REPORT PRINTOUT 46 Setup Setup System Dialog G SETUP eraoline Settings that apply to the system as a whole can be made from the Setup System and from the Setup Service dialogs etu oos Hel Click System to display the Setup System dialog MD click Service to display the Setup Service dialog Service Exit 6 1 SETUP SYSTEM DIALOG Setup System These are the features that can be configured from the Setup System dialog Alarm acknowledge time d Alarm tone volume c printout of Reports with average or with maximum BP values a functions for the use of chip cards b training parameters e trend curve colors f X m Alarm system Alalm acknowledg time 1 min Alarfn tone volume 50 Restore Factory Defaults Test alarm tone volume Patient SBtups OK Cancel Restore Setu Create Standard T ining r diagram colors heart rate m hange Repos Show average BP for training
8. 3 Meier Berd 10 Luppa Pepe Muster Peter Williams Christopher e Sedoneki Thomas 2 ich vert ___Remove Patient patient to g rou p P Pfaff Sabin 13 Gartner Paul Patients In train ng Schein Karl 14 ime Z ____Clear Group CI ick to remove selected Holle Maria 15 Singer Helmut Meier Petra 16 Schmidt Paola group Rehab ll patient from group Click to remove all patients from group FIGURE 2 3 PATIENT SETUP WINDOW DE ES eraoline Starting the Program Adding a Patient to the Database Adding a Patient to the Database For your notes 16 Training Preparation Diagnostic Data Option eraoline 3 TRAINING PREPARATION After adding a new patient to the database you should proceed with configuring the training Diagnostics is an option and can be added later on at any time You can enter or configure the diagnostic data and the training protocol either immediately after admitting a new patient or you can select the patient via Patient Setup and then click Edit Patient to open the Patient Data window Figure 3 2 3 1 DIAGNOSTIC DATA OPTION e n the Patient Data window click Diagnostics to open the input window To allow therapists to configure the optimal training protocol and correctly assess the training results it is essential for them to be aware of the patient s medical history and diagnostic data In addition to pre existing conditions and prescribed m
9. Values of a single training in tabular form Values for two compared trainings in tabular form FIGURE 4 9 COMPARE TRAINING SCREEN 37 eraoline FIGURE 4 10 POPUP MENU Running a Training Session In Test Operation OPERATION VIA POPUP MENU A number of functions can be controlled from a popup menu In addition to the functions that can be controlled with the softkeys such as Stop Training change Training Tye you can enter BP values measured off line enter a Borg value Click the patient field with the right mouse button to open the popup menu m Start Training B Stop Training p IP training type V training notes Measure BP a pump on ao pump oft A ECG k Insert borg value Insert BP value assign Patient ar Ide assign Patient X Remove all patients Entering BP values measured off line e Open the popup menu e Click nsert BP value e Type the systolic and diastolic BP values in the input window e Confirm with OK Immediately after input the values appear in the graphics window Depending on the training phase in which you enter values they will also be used for analysis and for the summary graph Note e For information about editing and deleting incorrect BP values please refer to Editing Deleting BP Values on page 42 Entering the Borg Rating The Borg rating identifies the patient s perceived exertion on a scale from 0 to 20 where the minimum
10. buttons to select the measurement e Edit the values e Save the new values with OK or delete the values with OK The graphic diagram and summary graph will be updated accordingly Delete BP value E Delete BP value x Select measurement Humber E Time 0 02 min Time 0 02 mir Correct values Systolic value fi 33 Systolic value 133 mmHg Diastolic value r5 Delete values Diastolic value 75 mmHg vus eee cancel Cancel FIGURE 5 4 Ent BP VALUE LEFT DELETE BP VALUE RIGHT 42 Analyzing Training Sessions Printing eraoline 5 5 PRINTING PRINT SETUP You display the print setup window with the Print button e Select the settings and click OK to close the window Select printer settings e g two sided printing Select printer Print 5etup Printer Mame Samsun CEP 300 senes j Statuz Ready Type Samsung CLP 300 Series Where IP 182 158 1 44 Comment Paper Orientation SIZE A4 Portrait Select orientation Source Auto Select 2 Landscape Select paper FIGURE 5 5 PRINTER SETUP SELECTING REPORTS From the Training Analysis Figure 5 1 the following reports can be selected single training ECG summary report A comparison of different training sessions can be printed from the Compare Training window Figure 4 9 With L you display a print preview for each report 43 eraoline Analyzing Tra
11. can set the path to the appropriate archive The corresponding archive name e g Archive 2004 10 11 001 is displayed in the dialog If a patient already exists in the patient directory the corresponding patient data cannot be imported again Setting the path for data archiving e Click Expanded h Figure 6 2 to open the configuration window e In the Archived data window click User defined e Click the folder icon to open Explorer and select the path With the limit to check box you can limit the size of the archive to 700 MByte so that it fits on a CD ADD LOGO You can add a logo to your reports The logo must be a BMP file Select option to define the Select option to define the logo position on the report logo alignment on the report center without headings center C bottom with headings 1 3 C bottom right right with all headings Example with logo position bottom 3 headers alignment left Erich fyiustermann Continuing Education for Sports Therapy and Cardiac Rehabilitation Patient ID Mustermann_Erich FIGURE 6 5 PRINTOUT WITH LOGO SSM Date of Birth 06 11 1965 Height 178 cm Wuecht 73 K Load zm 135 azo se sozen woven rro on for o Po pe Ps as wos zar e 9 1 wej ee ovr wares os nm m e wes Deme ja jj2 i fs CAE cE ee eraoline Setup Setup Service Dialog ELECTRODE APPLICATION SYSTEM If the turn on off a
12. or system should be tested to verify normal operation in the configuration in which it is being used 1 7 SYSTEM REQUIREMENTS Processor Intel Pentium 4 2 6 GHz RAM 512 MB Hard drive 80 GB Other drives CD ROM drive Graphics card 1280 x 1024 pixels 128 MB 2 monitor outputs Monitor s 1280 x 1024 pixels Input devices Keyboard mouse Introduction Equipment Symbols eraoline Interfaces 1 USB interface for connection of the dongle 1 parallel or USB interface for connection of a printer 1 to 16 serial interfaces for connection of the ergometers Printer ink jet or laser printer with parallel or USB connection Miscellaneous Sound card speakers Operating system Windows 2000 Professional or Windows XP Professional 1 8 EQUIPMENT SYMBOLS 1 9 INTENDED USE 1 10 THE ERS SYSTEM The symbols that you will find on the PC and on the ergometer are explained in the corresponding user manuals Text labels explain the function of all symbols displayed on the screen P Double click the icon to start the program ERS The ERS system automatically controls up to 16 ergometers bicycles or treadmills and offers individual training protocols Each phase of the training protocol is documented providing the therapist physician with up to date information about the patient s status performance data and training progress at any time The ergometers used must be medical ergometers that meet IEC 60601 1 1 requirements Both bicycle ergomet
13. s a 5na sk kk kk ia la al A n kon dh canes NE b ka dees Aka d k1 6 Dele Ly MOMMA ee ka kla Jame ee a ani a TRIESTE 6 System MedU i i CT dereen 8 EGU IDIMENG S IOS EE 9 Iso Ue ae ee ee ee eee ee See 9 WCE RO IPTE TTE TOTO TIT LTEM 9 Starting the Program Adding a Patient to the Database 13 Starting Ba RN de Lal LEE 13 Adding a Patient to the Database KK KK KK KK KIR KK K KK eens 14 raining Preparation 2 ond kk kk kk kk kk kk kk kk kk kk kk Res 17 Diagnostic Data Option kk kk kk KK KK KK KK KK KK KK KK KK KK KK KK KK KK kk 17 Configuring Training Protocols 0 cc ccc eee eee KK KK KIR KK kk 19 Alarm Limits Option 0 kk kk kk kk kK KK KK KK KK KK KK KI KI KK KK KK KK KK enn eee IK kk 29 Running a Training Session 31 Assigning Patients to Ergometers acu acm arma kk kk kK kK KK KI KK KK KK KK KK KK kK kK kk kk d 31 Staring Training SSS IONS ss s ss tate ie week a ek heen n i kan 34 Data i Panent Fiels sayan naka kan bye man n hrana SE aA 060 dee erate ates hoes 35 Heee ODE Deopeeee ebe mom lmm mmmzmmm w Jjjmmma 36 Analyzing Training Sessions 0 0 e kk kk kk kk kk kk kk kk kk 39 Individual Training and Summary 39 Summary Graph rend oce scared arae sya aya ale ala kale nee fy wanen W a de d ake di 40 Export GDT Export CSN 41 Editing Deleting BP E TEE 42 Ki EE 43 GEET E rrr 47 Setup System EE xa n b W n aw
14. value corresponds to the minimum perceived training intensity and the maximum value corresponds to the maximum exertion e Open the popup menu e Click nsert Borg value e Enter the value and confirm with OK 38 Analyzing Training Sessions Individual Training and Summary 5 ANALYZING TRAININGSESSIONS 5 1 INDIVIDUAL TRAINING AND SUMMARY The Analysisfunction eraoline offers a number of options for analyzing individual training sessions and for highlighting the patients progressively improving performance With Analysis you display the selected patient s last training session In addition to a graphic diagram and the ECG of the last session a table lists all the patient s training sessions You can click in a row of the table to view the corresponding graphic diagram and ECG ECG of the selected session Graphic diagram of the selected session load pulse blood pressure of the ECG segment Table listing all training sessions Training Analysis Dr WiNams Christopher 15 07 2011 15 03 00 15 07 2011 15 03 15 07 2011 RH Scroll bar for selection Click to select another patient to view their analysis Navigation buttons to switch between ECG marks Select Patiey ECG gain adjustment Select ECG sweep speed Size 1 mV cm E Sweep Speed Click to print graphic eames diagram NES Click for print preview fl Print ECG C
15. with the applicable safety standards of the IEC 60601 series and or the system configuration must comply with the requirements of the collateral standard IEC 60601 1 1 Safety Requirements for Medical Electrical Systems The power cords must be certified for use in the respective countries where the equipment is operated All publications reflect the equipment specifications and standards on safety of medical electrical equipment valid at the time of printing All rights are reserved for devices circuits techniques software programs and names appearing in this manual No part of this manual may be reprinted without written permission from Ergoline GmbH 9 2011 Ergoline GmbH Lindenstrasse 5 D 72475 Bitz Introduction Safety Information eraoline DEFINITIONS The safety information in this manual is classified as follows Danger indicates an imminent hazard If not avoided the hazard will result in death or serious injury Warning indicates a hazard If not avoided the hazard can result in death or serious injury Caution indicates a potential hazard If not avoided the hazard may result in minor injury and or product property damage SAFETY INFORMATION Danger e Explosion Hazard e The ERS System is not designed for use in areas of rooms used for medical purposes where an explosion hazard may occur Potentially explosive atmospheres may result from the use of flammable anesthetics skin cleansing agents or disinfecta
16. E CONFIGURATION ENABLING DISABLING ECG DISPLAY Disabling display of the ECG makes sense only if the patient wears a chest belt or if no ECG electrodes are used This helps prevent artifacts on the ECG waveform due to unused patient cables Furthermore it helps avoid display of an incorrect ECG or incorrect HR values in the summary graph Show ECG m ecg Do not show ECG L ecg If the ECG is disabled the ergometer will not transmit ECG signals to the ERS program In this case the HR can be determined by means of a chest belt and receiver 80 Williams Christopher 98 1 Stopped FIGURE 3 15 ECG DISABLED ecg disabled 97 eraoline Training Preparation Configuring Training Protocols CONFIGURATION OF TREADMILL PROTOCOLS Training protocols for treadmills are essentially configured in the same way as for bicycle ergometers In addition however the elevation can be specified for each training phase in the Treadmill window During the training loads specified as Elevation will be converted to speed The calculated speed will then be displayed Warmup Phase 1 Elevation 0 Cancel Speed 10 km h Warmup Phase 2 Elevation H Speed 10 34 km h r Training Phase Elevation 0 Speed km h r Recovery Phase Elevation atx Speed 1 7 km h FIGURE 3 16 TREADMILL CONFIGURATION WINDOW During the training the Home view Load 67 can be accessed to
17. ID date of birth height weight and sex Read click button to read the chip card data Write click button to write data to the chip card Format click button to format the chip card if used for the first time PATIENT SETUP WINDOW Select patient search Click to add new patient Patient Set mode by name enter r z initial letters or by ID Patients i enter initial digits or TT Sawa m J letters selected pat ent Imker Klaus Imker 03 02 2003 iD Category Last Training 14 02 2003 New Patient Edit Patient Click to remove selected Mee Bed Meis Beni SM patient from database Click Name or ID to Meier Petra Reha 100 12 02 2003 Pl Delete Patient p sort the patient list Mustermann Erich Mustermann Erich 02 04 2003 r Click to assign patient to Sadowski Thomas Sadowski 1002 26 04 2003 selected field on the initial Schick Barbera Schek 10022 25 04 2003 Je screen Selected patient Sa Sie meaw 1 eme Wi SE Be Vilar RU Gees TC to remove individual p Deassign al patient or all patients from ergometers Groups Click to create new training NewGroup Grou p Existing training n Etc Click to edit selected training groups Delete Group group Click to delete selected training group Assign Group Click to assign patients of the group to fields on the initial screen Click to add selected Patients in Selected Group
18. NING SESSION It is also possible to start individual training session e g when a patient is late e Assign the patient e Right click the corresponding field e Start the training session from the popup menu see Operation via popup menu on page 38 with Start Training 34 Running a Training Session Data in Patient Field eraoline 4 3 DATA IN PATIENT FIELD The patient field provides a clear presentation of the patient data All changes even those necessary during the training session can be performed in this field Name Ergometer position number Current most recent BP readings Button to initiate a BP measurement Current load or display of the SpO2 value Current heart rate depending on configuration Taraet load Training heart rate J Current ECG target heart rate illiam 133 A 2 TEE Load 9 Christopher 100 4 100 A i 35 3 50 Max load 151 A S WP 1 00 35 Mark N Con tant HR Time remaining in current Click modify Training type training phase target heart rate D Click to mark Trend display HR Click to modify Current training phase event on ECG load BP target load FIGURE 4 6 PATIENT FIELD DATA FOR TREADMILL TRAINING Current load calculated Speed Load 6 Click to change speed Sp 2 9 EI 1 0 Click to change elevation Constant Load Elevation Training type FIGURE 4 7 DATA FOR TREADMILL TRAINING Note e Changes made in the patient field apply only to the train
19. S By installing the software you accept the terms and conditions outlined below Subject of this agreement is the granting of a license to use the software program and the product documentation Ergoline GmbH grants you a personal non exclusive and non transferable right to use the software and documentation The software program and the accompanying documentation are protected by copyright The licensee shall comply with the provisions of copyright law Ownership and all other rights to the software are retained by Ergoline GmbH You are not entitled to transfer the software to another computer via network or data channel The program and the accompanying documentation shall not be modified copied merged with other programs or made available to third parties The licensee is liable to the licenser for any damage arising from the breach of the copyright or infringement of the conditions of this agreement 1 3 REVISION HISTORY Revision 1 0 5 April 2011 Applies to software version V2 5 and later 1 4 INTENDED AUDIENCE This manual is geared for clinical professionals Clinical professionals are expected to have working knowledge of medical procedures practices and terminology as required for completing these examinations oe eraoline Introduction Stylistic Conventions 1 5 STYLISTIC CONVENTIONS Bold text indicates keys softkeys and hardkeys Examples Patient Setup Start Training Italicized text indicates software terms a
20. URE 3 6 TRAINING PHASE CONFIGURATION WINDOW CONSTANT HR Training Dr Williams Christopher 10 200 Set heart rate for exercise training FIGURE 3 7 SET HEART RATE FOR EXERCISE TRAINING PHASE Figure 3 8 shows a constant HR training phase In the beginning the load is increased until the target training pulse is reached for the first time Then the load is reduced by 15 and is maintained at a level where the pulse rate remains more or less constant Time 21 09 Load 67 Load decrease HR 129 Load adapts in relation to set training pulse Besch 25 Training pulse 2n Warmup Phase 2 Constant Load increase 25 W min Ww t min Training Phase Constant HR 155 1 min Max load 150 W 8 16 06 10 2005 13 29 FIGURE 3 8 CONSTANT HR TRAINING Z223 eraoline Training Preparation Configuring Training Protocols CONSTANT LOAD For constant load training phases you determine duration training load training HR target heart rate Click to set duration Click to set load Click to set target HR r Traininwghase Duration 12 min Training load 51 E pw Training hr 155 17min FIGURE 3 9 TRAINING PHASE CONFIGURATION WINDOW CONSTANT LOAD Training Dr Williams Christopher 100 Set load for exercise training phase FIGURE 3 10 SET LOAD FOR EXERCISE TRAINING PHASE SpO controlled Training e Open the configuratio
21. a bka eee sed kal eed Rud du oe EVE E eee 47 Setup Senice Dialog sssr aana maa E nm a pp mm 49 eraoline Contents For your notes Introduction CE Marking Information eraoline 1 INTRODUCTION 1 1 CE MARKING INFORMATION The product ERS System bears the CE marking CE 123 notified body TUV SUD Produkt Service GmbH Ridlerstrasse 65 80339 Munich Germany indicating its compliance with the provisions of the Council Directive 93 42 EEC about medical devices and fulfills the essential requirements of Annex of this directive The product ERS System has been assigned to class Ilb in accordance with Annex IX of the Directive 93 42 EEC The product fulfills the requirements of standard EN 60601 1 Medical Electrical Equipment Part 1 General Requirements for Safety as well as the immunity requirements of standard EN 60601 1 2 Electromagnetic Compatibility Medical Electrical Devices Magnetic and electrical fields are capable of interfering with the proper performance of the device For this reason make sure that all external devices operated in the vicinity of the equipment comply with the relevant EMC requirements X ray equipment MRI devices radio systems and cellular telephones are possible sources of interference as they may emit higher levels of electromagnetic radiation Keep the equipment away from these devices and verify its performance before use The country of manufacture appears on the device label 1 2 LICENSE TERM
22. aining 60 4 Percentage load decrease when reaching the training HR in HR controlled training LE 15 E 4 Y im Bicycle ergometer Treasdmill Ergometer eraoline Setup Setup Service Dialog NOTCH FILTER FREQUENCY Used to suppress AC interference If necessary select the frequency of your power line Note e Please note that the filter limits the transmission range Filters should therefore only be enabled if interference is actually present ERGOMETER CONFIGURATION At Number of ergometers you set the number of connected ergometers and at First port number the interface where the first ergometer is connected If it is connected to COM1 the first port number is 0 for COM2 it is 1 etc With the Ergometer Configuration button you open the configuration window e Select the ergometer number a e Select the ergometer type b e Choose the appropriate options at c and save the settings with Apply Ergometer Configuration E a No Type ergoselect BP available SpO2 available SE JIN IS EL res ves ves 2 ergoline 300 Yes Yes Yes 3 ergoline 900 Yes Yes Yes 4 ergoline 300 Yes Yes Yes 5 ergoline 800 No No No 6 ergoline 800 No No No h p cosmos treadmill No No No 8 Woodway treadmill No No No 9 autodetect T 10 autodetect 11 autodetect 12 autodetect 13 autodetect 14 autodetect 15 autodetect 16 autodetect Type ei 300 z IV ergos
23. arison with other training sessions of the same patient e Acquisition of the patient s complete diagnosis allows optimal creation monitoring and adaptation of the individual training protocols e Comprehensive individual training protocols for each patient Constant load 10 Introduction The ERS System FIGURE 1 1 SYSTEM CONFIGURATION eraoline Constant pulse the software controls the ergometer load such that the patient s heart rate is constantly kept at a defined level nterval training Universal warm up and recovery phase definition e The training parameters may be directly changed at any time by the therapist e Group training all patients start at the same time e Individual training patients come when desired and train as long as desired e Immediate printout of a patient s current ECG is possible at any time e Quality assurance Full documentation of the complete training session Storage of all data recorded during the training session Continuous ECG recording the ECGs of all patients and all training sessions are stored SYSTEM CONFIGURATION The central component of the ERS system is a PC with an MS Windows operating system and special software which runs the training programs The training ergometers are connected to the PC system via control lines All data are shown on 1 or 2 large TFT monitors up to eight patients can be displayed and monitored on each monitor The ergometers are equipped fo
24. certain that there is no danger to the patient the operators or the environment as a result In those instances where there is any element of doubt concerning the safety of connected equipment the user must contact the manufacturers concerned or other informed experts as to whether there is any possible danger to the patient the operator or the environment as a result of the proposed combination of equipment Standards IEC 60601 1 1 EN60601 1 1 must be complied with in all cases eraoline Introduction System Requirements All bicycle ergometers and treadmills connected to the system must meet IEC 60601 1 requirements Liquids must not be allowed to enter the devices If liquids have entered the devices the ERS System must be checked by a service technician before being used again Do not open any of the devices There are no user replaceable components inside the devices Do not insert objects of any kind in any of the devices They may touch live components and you might suffer an electric shock cause fire or damage the device Warning Patient Hazard For stress test examinations a defibrillator and a pacemaker checked for proper functioning must be readily accessible at all times Patient Hazard Interpretation Hazard A qualified physician must overread all computer generated records Patient Hazard The operator must be trained in the use of the device Patient Hazard Equipment Damage Do not modify the ERS Sys
25. change speed or elevation in the exercise phase Any changes will affect El 1 0 the set load Constant Load In the constant HR training mode only the Treadmill i ing the training OR elevation can be changed during the training Se a han The corresponding speed will Cancel be displayed during the training 28 Training Preparation Alarm Limits Option eraoline 3 3 ALARM Limits OPTION Alarm limits can be set for each individual patient The system will emit visual and audible alarms upon violation of these limits e n the Patient Data window click Limits to open the input window Enable the alarm limit e g the Upper HR limit ke Upper HR limit e Use the arrow buttons to set the heart rate limit e Set the remaining alarm limits in the same way e Close the window by clicking OK This will save the alarm limits for the selected patient Limits 1 Dr Williams Christopher Cancel r Limits 2 IV Upper HR limit 150 E 1 min Lower HR limit St E Vinal Maximum systolic BP 180 mmHg Maximum diastolic BP 00 E mmHg FIGURE 3 17 LIMITS CONFIGURATION WINDOW 29 eraoline Training Preparation Alarm Limits Option For your notes 30 Running a Training Session Assigning Patients to Ergometers eraoline 4 RUNNING A TRAINING SESSION Note Patient preparation measures general preparation for bicycle ergometer training application of ECG electrodes and blood pr
26. check box the corresponding measuring values will be displayed Summary Graph E x w 4 Dim mmHg pr Kg wikg 90 L 225 225 225 1 200 200 200 r 80 1 6 175 175 40 75 Lan 1 4 150 150 60 150 L60 1 Dote El 125 125 25 50 1 0 119 L E iara 100 100 100 40 0 8 N SNe 20 Hen H90 Hen Hen Hen Hen ZEH T 75 7518 30 H30 ETEN deo H30 H20 H30 75 L30 0 6 67 ES 60 50 50 50 20 0 4 25 25 25 L 10 0 2 e 0 0 0 0 1 4 7 10 13 No m Timeframe load heart rate blood pressure Others EAEEREN MV show IV show IV show Weight from DD 25 NM C Warmup Phase C Warmup Phase Warmup Phase WiKg Print to 15 07 2011 15 03 14 Nr 12 Training Phase Training Phase Training Phase Recovery Phase Recovery Phase Recovery Phase v Show values Close FIGURE 5 3 SUMMARY GRAPH WITH MEASURING VALUES 5 3 Export GDT Export CSV For information about data export with Export GDT and Export CSV please refer to chapter Setup see GDT mode on page 52 A1 eraoline Analyzing Training Sessions Editing Deleting BP Values 5 4 EDITING DELETING BP VALUES With blood pressure you access the function for editing or deleting blood pressure values e Click blood pressure and select either Edit BP Value or Delete BP Value Each command will open a window with the BP values stored in numeric form e Use the arrow
27. edications the results of exercise test ECGs and ultrasound studies can be entered After the window has been closed with OK a diagnostic summary will appear on the Patient Data screen see Figure 3 2 Should complications occur during the training the therapist has immediate access to all relevant information for example by double clicking the patient s name Diagnostics Dr Williams Christopher m Click to close window Diagnosis 2 without saving the data KHK Rhythmic Interference Status After Cardiomyopathy Others GE j E Rhythmic Replacementof DCM Cardiac t interference mitral valve insufficiency C ick to close WI ndow Alt Cardiac arest V Arrhythmias Replacement of ICM Diabetes Mellitus saving the data aortal valve ww SV Arrhythmias IMA HCM AVK _ TB Ha VHF PO HOCM COPD Diagnosis pane Angina pectoris AV block lI PCI Stent RCM BAA Hypertonie SM mplant ACB f S Cardiomyopathy Aneurysma M due to m hypertension NYHA ICD Ortho Medication Beta blocker ACE inhibitor Nitrates Courmarine derivative j j VE Digitalis Anti lipid meds Diuretic Calcium antagonist Medication pane Additional Tests pane r Additional Tests Anti arhythmic Anti coagulant Anti diabetic Anti hypertensive Echocardiogram A E a C vg yf Ef s lt J PE PILE zm pen 2000 108 ed Cr S
28. elect Apply b v BP available C V Sp02 available Transmission of speed to TM and compatible treadmills kilometers per hour C miles per hour FIGURE 6 3 ERGOMETER CONFIGURATION DATA ARCHIVING Note e Bydefault the data are saved to the ergoline ERSArchive folder in the Program Files directory of the operating system depending on the Windows version and program language the name of the Program Files directory may be different Export patient data e Click Export and select the patients whose data are to be archived the sorting criteria Name ID Category and Last Training make it easy to create and highlight a group of patients and export their data together Data archive E port Import e Confirm the command with Export the next dialog shows where the data were exported 50 Setup Setup Service Dialog Select check box to add logo to reports use Logo select Logo C top with headings 6 8 C top left Click to select logo left with all headings FIGURE 6 4 ADDING A LOGO ergoline Academy eraoline Import patient data Patient data are imported in the same way After confirmation with the Import button the highlighted data will be imported After the successful import of patient data the message Import of patients succeeded will be displayed A dialog is automatically display which allows you to select the patient From this dialog you
29. er CEMM MDDMNMNHNHNHNHNHNHNnHnNnENHNnRnRRMRM MDn IMMMARDM 38 C Caution definition eese tnnt tnn 7 ESTBI l suk tac ea lC ea as yeren ED ke erk Ane di en led ke ey 5 Biden 15 48 Chip card assigning patients sss 33 Compare training trends ENEE 37 Constant HR training configuration 23 Constant load training configuration 24 D Danger definition mem 7 Data arc INV EE 50 51 Dala S COM IS vost eisencededutetivdeetrprduss dientes decet cb desides Rte 52 Diagnostic data n N N N N HH HHNMMDMNM 17 E 5 EN gie 45 Edit delete TEE 42 Electrode application system ENEE 52 EMC EE 5 Ergometer configuration essent 50 Export patient Call e RR NN 50 F Factory defaults restore e essent 48 G S DINI o c 52 GIO ASS o TNR RR RR 32 import patent Gata eee ere sn Naya nasan kayan aaay ai kayiz an 51 Individual patient assign 31 inital roca LL oo 13 interface GOnTIQUra E 50 MEET 8 Interval training configuration esses 25 IEN 36 L Language selection esee nere te tern tntnnnns 49 LICENSE TETS EIE ERO 5 Were mE dl ENTRAR 51 N NetWork ON CT AL OM nens an memi kadan en keyi oU pU 52 Noteh filter TTeqUe CY cesis tei re Du e tuu nes 50 P XC ssec IE 14 Patient data export sese 50 eraoline Pa
30. ers and treadmills can be used ERS systems are only designed for operation in rooms used for medical purposes It is intended for use in rehabilitation centers cardiology offices and fitness centers with medical cardiac programs The ERS system is intended to be used only by trained operators under direct supervision of a licensed health care practitioner on adult and pediatric patients Parts and accessories must comply with the applicable safety standards of the IEC 60601 series and or the system configuration must comply with the requirements of the standard IEC 60601 1 1 for medical electrical equipment INTRODUCTION The role of exercise therapy as a part of the rehabilitation of cardiac patients in the follow up treatment phase II is viewed positively to a large extent today based on decades of favorable experience In recent years various studies have been able to show the positive impact of exercise therapy on coronary patients KELLERMANN et al 1967 HELLERSTEIN 1973 KONIG et al 1977 HOLLMANN et al 1983 ROST et al 1991 among others Through constant advancement of new diagnostic and therapeutic methods there has additionally been a fundamental transformation of the rehabilitation process of cardiology patients in the past few years Along with the phases of early mobilization and exercise therapy sports therapy has also taken on greater importance today Early mobilization refers to passive and active mobilizat
31. erting the chip card in the ergometer and they can be removed by removal of the chip card Select the Assign and deassign patients automatically check box to enable this function b Figure 6 1 48 Setup Setup Service Dialog 6 2 SETUP SERVICE DIALOG On the Setup Service screen the user is only allowed to perform the settings and inputs listed here All other settings and inputs greyed out are reserved for specially trained service personnel Report heading lines a Language selection b Selection of the notch filter frequency c Ergometer configuration d Data archive e Add logo f Electrode application system g eraoline Advanced settings data archiving data storage GDT mode h Network operation i Service Setup FIGURE 6 2 SETUP SERVICE DIALOG REPORT HEADING LINES A maximum of 8 headers can be entered here This text will appear at the top of each report LANGUAGE Choose the language 49 m Screen layout Number of displays Rows m Diagnostics v Simulate patient connections D log communication with ergometers ATTENTION needs VER MUCH diskspace dHF 2 Amin KPwu2B 0 12 KPtp 019 LS duer 5 W min Klwu2B n 25 Kp Jon 3 Filter HR average N samples Drop high N samples Drop low N samples JV Adjust Wb load automatically Percent of average load to use at start of next a tr
32. es In interval training protocols work and recovery phases alternate in a fixed rhythm e g 20 seconds at 80 watts followed by 40 seconds at 16 watts etc L9 E eraoline Training Preparation Configuring Training Protocols CONFIGURATION OF WARMUP PHASES 1 AND 2 Two warmup phases precede the actual training phase For Warmup Phase 1 you set a constant load for a specific period of time Click to set Click to set constant load duration Warmup Phase 1 Constant load of Duration FIGURE 3 4 WARMUP PHASE 1 CONFIGURATION WINDOW During Warmup Phase 2 the load adapts automatically in a linear fashion The load increments depend on the set duration but will never exceed 25 W min You can choose between a constant load increase per minute or a constant HR increase per minute Click to set Click to set load increase min duration Warmup Phase 2 Constant load incre REN 3 min 18 eg rnin D j c H Constant HA increas Aadam 2 Estimated sl Select U Estimated method s mra TUT Sy Ti omma FIGURE 3 5 WARMUP PHASE 2 CONFIGURATION WINDOW 22 Training Preparation Configuring Training Protocols eraoline CONFIGURATION OF TRAINING PHASE CONSTANT HR For constant heart rate training phases you determine duration maximum load training pulse Click to set duration Click to set maximum load Click to set training pulse Maxmumload M w Training hr 105 17min FIG
33. essure cuffs are described in the user manual of the bicycle ergometer The ergometer should be switched on before the patient sits down 4 1 ASSIGNING PATIENTS TO ERGOMETERS Patients can be assigned to ergometers individually as a training group or automatically by means of the chip card ASSIGNING AN INDIVIDUAL PATIENT e Click tff to display the patient setup screen e At 1 select the ergometer position e g 2 e Select the patient 2 e Confirm with Assign Patient 3 2 3 1 D ergoline Reha System 16 54 57 Jan Setup Tools Help A X ttt gt m de a Home Acknowledge Patient Setup Sfert Training Stop Training pump on pump off Patient Data ECG Patient Setup t Last Training 4 New Patient Imker_03 02 2003 14 02 2003 Lubba_03 02 20 26 04 2003 Edit Patient j em Meier Bernd 12 Reha 100 12 02 2003 al Delete Patient uster_27 01 2 10 02 2003 Must Erich 02 04 2003 5 25 04 2003 ji 26 04 2003 05 05 2003 25 04 2003 05 05 2003 21 01 2003 02 04 2003 13 07 2011 E Jeassign Patient Deassign all Patients can also be assigned to T an ergometer position by drag eee drop see also Moving Patients with Drag amp Drop on page 34 ESI Assign Group a Patients in Selected Group Add Patient Remove Patient Clear Group i E FIGURE 4 1 ASSIGNING PATIENTS 21 eraoline
34. hermore the Diagnostics Training and Limits buttons will be enabled see Configuring Training Protocols on page 19 Click Cancel to close the window without adding the patient to the database Patient Data Dr Williams Christopher Click to add patient to database Inpu t boxes for Last name Wiliams First name Christopher 1 i entry of patient aet L t 3005207 Auto ID Title Dx Geer datz Lee Click to close window Date of birth Je DD MM vr without saving data SSN Weight 85 Se Kg Sex s ke Height 188 e em emale had Category Diagnostics Address line 1 Re Click to enter diagnostic Input boxes for Limits g address insurance Address line 2 TT DD data configure protocols physician etc define limit values Town State Hi ee o Insurance Read IE a Click to write patient data Room Departure date 30 05 2011 Write to chip Ca rd Or download them from the chip card Physician o fma p Diagnostics z summary Patient diagnosis n boss Input box for comments zl FIGURE 2 2 PATIENT DATA WINDOW 14 Starting the Program Adding a Patient to the Database Adding a Patient to the Database eraoline WRITING PATIENT DATA TO CHIP CARD OR DOWNLOADING THEM FROM THE CHIP CARD Ergometers of the ergoselect family allow patients to be automatically assigned to a specific ergometer The data stored on the chip card are last name first name patient
35. ical equipment interface is a standard developed by OMS medical software quality circle which enabled platform independent transfer of data between medical equipment and practice management software The ERS program supports this standard If enabled GDT mode ensures that patient data sent to the exchange directory by the practice management software are automatically integrated in the ERS program at program start Additionally training comparisons and analyses can be sent to the practice management software d Setup Setup Service Dialog eraoline Note e GDI mode is possible only when this option has been activated Activating GDT mode e Click Expanded h Figure 6 2 to open the configuration window e Select the Data exchange tab e Click Activate GDI To allow the two systems to communicate the following is needed asender ID a recipient ID a data transfer location Application Id ID composed of exactly 4 characters Surgery Id ID composed of exactly 4 characters File extension Count The extension of each file written to the exchange directory is incremented by one 001 002 etc GDT The extension of each file written to the exchange directory is GDT Directory path to the directory for the transfer files click folder icon to open Explorer and select path When GDT mode is activated patients can be admitted to the ERS system or transferred from the practice management software Depe
36. ients in Selected Group Cool of 3 Meier Berd Luppa Pepe 11 Schick Barbara 12 Faist Anton 13 Gartner Paul 14 Imker Klaus 15 Singer Helmut 16 Schmidt Paola e New Group Edit Group Delete Group Assign Group Add Patient Remove Patient Clear Group FIGURE 4 2 CREATING A TRAINING GROUP ASSIGNING TRAINING GROUPS With Edit Group you can edit the group name Click Assign Group 5 Select a group such as Rehab IIl 1 45 6 Groups can also be created by drag amp drop drag patients from patient list to the group list see also Moving Patients with Drag amp Drop on page 34 With Delete Group you can delete the entire group With Clear Group you can remove all patients from the group 32 Running a Training Session Assigning Patients to Ergometers eraoline ASSIGNMENT WITH CHIP CARD With ergoselect bicycle ergometers patients can be assigned automatically by inserting the chip card in the ergometer and they can be removed by removal of the chip card e Click Setup gt System to open the Setup System window e Select the Assign and deassign patients automatically check box e Confirm with OK FIGURE 4 3 SETUP SYSTEM ASSIGN REMOVE VIA POPUP MENU e Right click the field of the ergometer in question e Select Assign Patient e Select the patient and confirm with OK Follow the same procedure to remove a patient ll
37. ineer CONSTANT LOAD The load will be maintained at the defined value It will not be adapted to the pulse rate The current load can easily be changed during the training at any time The training load is the actual load attained during the training phase The training pulse is an approximate value and is given for information purposes only This means the patient will exercise with the set load in watts irrespective of the pulse rate As an alternative the load can be controlled via the SpO value see SpO2 controlled Training on page 24 Note e Different load values for constant HR and constant load protocols The defined load for a constant HR training maximum load and a constant load training training load are two different parameters They are not identical If a constant HR protocol is configured the defined load applies only to this training type The same is true for a constant load training For a constant HR training for example you can define a maximum load of 70 W and for a constant load training a training load of 90 W Always check both settings if you intend to switch between the two training types e Switching between training types during the session If you switch between constant HR and constant load in the course of a session the current load will remain effective INTERVAL TRAINING Interval training has become an established ideal training type for patients with heart failure or weak muscl
38. ing phase not to the warmup phases ABBREVIATIONS USED WP 1 warmup phase 1 HR heart rate WP 2 warmup phase 2 THR training heart rate TP training phase Sp speed treadmill RP recovery phase 2 El elevation treadmill 235 eraoline Running a Training Session In Test Operation 4 4 N TEST OPERATION During the test operation can be performed via operating controls or from the popup menu SOFTKEY OPERATION n Ts ai n m Print h i J ER Patient Data Analysis ECG Acknowledge Home Patient Setup Start Trainin Stop Training pump an T Training Compare FIGURE 4 8 OPERATING CONTROLS Start Training Click to start session for all patients Stop Training Click to stop session for all patients either with or without recovery phase pump on Click to turn the electrode application system on for all ergometers ergometers with pump option only pump off Click to turn the electrode application system off for all ergometers Patient Data Click to view the data of the selected patient verify edit ECG Click to view the stored ECG of the selected patient This button allows you to retrieve past ECG segments Furthermore it is possible to switch between markers inserted by the therapist and view the corresponding ECG segment Navigation buttons to switch between ECG marks Click to adjust gain Click for manual ECG update Click for automatic ECG update c
39. ining Sessions Printing SINGLE TRAINING SESSION A single training session can be printed with Print Graph Erich Mustermann Patient ID Mustermann Erich SSN Date of Birth 06 11 1955 Height 178 cm Weight 73 Kg p Amin 0 22 01 2003 09 35 j Bo HR BP Load RP WP TP RP WP 2036 74 119 95 90 61 139 60 52 88 20 s 158 ergoline Reha System 2 6 Training Report 22 07 2011 Page 1 of 1 FIGURE 5 6 PRINTOUT OF A SINGLE TRAINING SESSION 44 Analyzing Training Sessions Printing ECG An ECG can be printed with Print ECG eraoline e Select the ECG format to print the entire ECG or the current ECG segment only the ECG segment is selected with the scroll bar above the window e Selecta printout with or without the training notes ergoline 22 01 2003 09 55 30 ergoline Reha System 2 6 FIGURE 5 7 ECG PRINTOUT 45 Erich Mustermann Patient ID Mustermann Erich SSN Date of Birth 05 11 1965 Height 178 cm Weight 73 Kg 25 mm sec 2 mv cm 22 01 2003 09 56 00 ECG Report 22 07 2011 Page 1 of 1 eraoline Analyzing Training Sessions Printing SUMMARY REPORT A summary report can be printed with Print Summary e Selecta printout with or without the training notes Erich Mustermann Patient ID Mustermann Erich SN Date of Birth 05 11 1965 Height 178 cm Weight 73 Kg Date i Borg HR BP Load e oe yee a vez TE je Foe we CN 22 01 2003
40. ion as soon as the patient s clinical condition allows eraoline Introduction The ERS System Exercise therapy is medically indicated and prescribed movement which is planned and regulated by the specialist therapist monitored together with the physician and performed with the patient alone or in a group Sports therapy is an exercise therapy measure which uses appropriate sports means to compensate for and regenerate disrupted physical mental and social functions prevent secondary injuries and promote health oriented behavior It is based on laws of biology and includes in particular pedagogical psychological and sociotherapeutic methods and aims to achieve lasting health literacy Ergometer training is used in this case particularly in the areas of early mobilization and exercise therapy within the scope of inpatient and increasingly also in outpatient rehabilitation in order to increase the performance capacity of cardiovascular patients As studies have been able to show the performance capacity and thus also the quality of life can be significantly improved even in patients with heart failure by selecting an appropriate form of training interval training The increased requirements with regard to efficient work but also quality assurance and complete documentation efficiency monitoring of the training performed with all registered data can however only be met by an appropriately designed ergometer training system
41. k int ECG SE including training notes Click to select sweep speed Nliams Christophe Size 1 m em e H ECG Marks Click to print ECG Sweep Speed E dure s Update A training notes EE Click to enter B training notes 4 14 18 00 FIGURE 4 1 ECG DISPLAY DURING TRAINING SESSION 436 Running a Training Session In Test Operation eraoline Training Click to view training data and trend of the selected patient With this function the training protocol can be modified during the session or the training can be aborted It is also possible to change between constant heart rate and constant load modes for example when arrhythmias make it impossible to calculate the correct heart rate or when the ECG lead quality deteriorates Compare Click to compare the trends for different training sessions of the selected patient The full graphic trend as well as the most important values in tabular form can be viewed Click to select Training 1 Compare Training 2 Dr Williams Christoph Click to select the No 1 compare to TNo 2 compare type Close CO m pa ri SO n m O d e absolue S absolute percentage 31 05 2011 13 13072011 11 14 Seene r Print Click to select Training 2 11 Click to print the comparison i Click to see the print preview Time load HR at cursor position gt e XN Cursor Values of a single training in tabular form
42. l Stop Training it ramina motes p Start Training lI Stop Training R training type s training notes IE erue Dr Measure BP ECG inserk borg vale LI WET U DOUD Werbe Insert borg value i SE unn Insert BP salue Insert BP value fe esi Patient a Deassign Patient FIGURE 4 4 POPUP MENU D e e eraoline Running a Training Session Starting Training Sessions MOVING PATIENTS WITH DRAG amp DROP Using the Drag amp Drop function you can easily move patients between ergometers e With the left mouse button click the patient name and hold the button pressed e Drag the name to the number of the new ergometer and release the mouse button The patient has now changed places If a patient had been assigned to the new ergometer the two patients will swap places 4 2 STARTING TRAINING SESSIONS Note Patient preparation measures general preparation for bicycle ergometer training application of ECG electrodes and blood pressure cuffs are described in the user manual of the bicycle ergometer The ergometer should be switched on before the patient sits down As soon as the patients sit on the ergometers you can start the training e Click j and answer the query Start training for all patients Skart Training with Yes The training will start with warmup phase WP1 for all patients
43. mber of repetitions and the step from which the repetitions are to be performed e Click Insert to add a new row with an interval configured as described above If a row in the table is highlighted the new row will be inserted above that row With Overwrite Delete a table row can be overwritten or deleted Saving training profiles After configuration of a profile the new profile can be saved and is then available for other patients e At Description enter a name for the profile e Clickin one of the 12 fields where you would like to save the profile e Save the profile with Save Loading training profiles e Click Define training profile to open the selection window e Click in the field with the profile you want to use e Click Load and confirm the prompt with Yes PWC Value The PWC value can be calculated only when the interval profile was configured as a graded profile w Pw Select the PWC check box to calculate the value 9B Training Preparation Configuring Training Protocols eraoline CONFIGURATION OF THE RECOVERY PHASE After the end of the defined training phase the Recovery phase will start The load will drop to a set value within a given period of time and be held constant for a defined period Click to set duration of Click to set minimum Click to set period in recovery phase load which the load shall be reduced to the minimum load Recover Phase Duration 3 Reduce load ta FIGURE 3 14 RECOVERY PHAS
44. n window with SpO2 e Select the settings and click OK to close the window General TT p02 control active eer Select check box to ABB 7 __ Cancel Click to set SpO limit and threshold Sp0 RAL KN om ES control applies as soon as limit and threshold enable SpO control Threshold Tote are exceeded m Initial load decrease BE If the SpO2 value remains below the limit for the time set here the load will be reduced Below limit percentage 0 C absolute 0 a w Load control Load reduction percentage or absolute value Delay 30 l se 15 Delay after which the load will be adjusted Caxae 0m Load increment for the adjustment percentage or absolute value FIGURE 3 11 SPO CONFIGURATION WINDOW 24 Training Preparation Configuring Training Protocols eraoline INTERVAL TRAINING For interval trainings you can either choose a profile from a number of stored profiles or configure your own training profile Follow these steps to select one of the stored profiles e Open the drop down menu with E e Select the profile e Enter the target heart rate for information purposes only it will not affect the load regulation e Close the Training window by clicking OK Selected profile Click to open drop down Click to set target HR menu Training Phase VT 40 8 watt Training profile Training hr 105 5 1 min IVT 50 10 watt IVT 60 12 Watt IVT
45. nd product names Examples Name Patient ID 1 6 SAFETY INFORMATION GENERAL INFORMATION This manual is an integral part of the device It should be available to the equipment operator at all times Close observance of the information given in the manual is a prerequisite for proper device performance and correct operation and ensures patient and operator safety Please note that information pertinent to several chapters is given only once Therefore read the entire manual once Also observe all instruction manuals supplied with other equipment such as the PC or the ergometer To ensure maximum patient safety the specified measuring accuracy and interference free operation we recommend using only original accessories available through Ergoline GmbH The user is responsible if accessories from other manufacturers are used Ergoline GmbH is responsible for the effects on safety reliability and performance of the equipment only if assembly operations extensions readjustments modifications or repairs are carried out by Ergoline GmbH or persons expressly authorized by Ergoline GmbH for these tasks the device is used in accordance with the instructions given in this manual The warranty does not cover damage resulting from the use of unsuitable accessories and consumables from other manufacturers Always consult with Ergoline GmbH if you intend to connect equipment not mentioned in this manual Parts and accessories must comply
46. nding on the practice workflow and to avoid duplicate patients select the Deactivate manual patient input check box to exclude patient admission in the ERS program Data transfer via GDT From the evaluation programs Compare and Analysis training results can be sent to the practice management program with the Export GDT button Il Data save e Data exhange r Current data Directory Standard User defined Li ATTENTION Changes will apply when restarting the application Present data will not be moved from the old to the new folder automatically Archived data Directory Standard User defined EEE Size limit to 650 v MB Abbrechen FIGURE 6 6 DATA EXCHANGE SETTINGS In some situations it is desirable to export analysis data in a standard file format for further processing with other software programs LOBO eraoline Setup Setup Service Dialog With the Export CSV button on the Training Analysis screen data are exported in an Excel format You can choose the target directory in the export dialog 54 Index INDEX A terra te fc C 35 Alarm acknowledge time sess 47 Alarm EELER eebe 29 Alarm tone volume sucescsisescvectescas cia viverent emite arriere 47 IS ES NER 39 Assigning A E OUD cc 32 Assigning DE EE 31 Assigning training Oroups EE 32 B Blood pressure average or maximum v lues 48 sare TAUNO MR 38 BOTI Maz UII EE 38 BP values Ent
47. nts Furthermore great care must be exercised when the system is used in oxygen enriched atmospheres The atmosphere is considered to be oxygen enriched when the room air contains more than 25 of oxygen or nitrous oxide Danger e Shock Hazard e e Before use verify that the equipment Is in correct working order and operating condition The cables and connectors in particular must be checked for signs of damage Damaged cables and connectors must be replaced immediately before use e Do not expose the equipment to direct sunlight to prevent system components from reaching inadmissible high temperatures The equipment has no additional protection against the ingress of humidity e When disconnecting the device from the power line remove the plug from the wall outlet first before disconnecting the cable from the device e Donotuse multiple portable socket outlets MPSO to connect devices to the power line e faprinter is operated in the patient environment the printer must comply with IEC 60601 requirements or it must be a modified printer with additional protective earth conductor potential equalization e All devices of a system must be connected to the same electric circuit Devices that are not connected to the same circuit must be electrically isolated when operated e g by means of an isolated RS232 interface not required in the USA e Devices may be connected to other devices or to parts of systems only when it has been made
48. or all patients g Click to stop session for all patients with or without recovery phase h X Click to turn the electrode application system ON for all j 2413 E39 kn MA 13 19 ergometers Click to turn the electrode application system OFF for all ergometers Click to view or edit the data of the selected patient In Test Operation on page 36 Click to view the stored ECG of the selected patient In Test Operation on page 36 ECG on page 45 Click to view training data and trend of the selected patient Click to compare the trends for different training sessions of the selected patient see In Test Operation on page 36 Click to analyze the training of the selected patient Click to select and configure a printer see Printing on page 43 eraoline Starting the Program Adding a Patient to the Database Adding a Patient to the Database 2 2 ADDING A PATIENT TO THE DATABASE e Click tff and then New Patient Mandatory patient information is Last name First name Patient ID personalized or generated with Auto ID Date of birth You can click the input boxes or navigate from box to box with the TAB key The points in the date of birth are inserted by the program To enter 16 May 1956 type 16051956 Title social security number SSN Sex Height and Weight are voluntary data Click OK and the patient will be added to the database The name will appear in the Patient Setup window see Abbildung 2 3 Furt
49. phase blood pressure Im o change Show maximum BP for training phase load m change ven BR eee W Kg O change r Chipeard fign and deassign patients automatically Restore Factory Defaults FIGURE 6 1 SETUP SYSTEM DIALOG ALARM ACKNOWLEDGE TIME Audible alarms will be suppressed for the period of time selected here upon activation of Acknowledge ALARM TONE VOLUME Use slider to adjust the volume of audible alarms TEST ALARM TONE VOLUME Click button to hear the audio alarm at the set volume 47 eraoline Setup Setup System Dialog AVERAGE MAXIMUM BP VALUES The printed reports show either the average BP values during the training phase TP or the maximum values TRAINING SETUPS Save Setup Restore Setup Restore Factory Defaults Create Standard Training TREND CURVE COLORS The training setup of the selected patient will become the default setup The default setup will be assigned to the currently selected patient The default training setup will be restored to the factory defaults The default training setup will be assigned to all future patients The default training setup can be configured when no patient is selected Click change to open the color palette With Restore Factory Defaults you restore the factory default settings CHIP CARD MODE With ergoselect bicycle ergometers patients can be assigned automatically by ins
50. r ECG monitoring with single channel ECG amplifiers whose signals are transmitted to the PC via the serial interfaces In addition automatic blood pressure measurement can be integrated in the training protocols if the ergometers are equipped accordingly ee eraoline Introduction The ERS System For your notes m y Starting the Program Adding a Patient to the Database Starting the Program eraoline 2 STARTING THE PROGRAM ADDING A PATIENT TO THE DATABASE 2 1 STARTING THE PROGRAM e Start the program by double clicking ei The initial screen will display The screen layout automatically adapts to the number of ergometers and to the system configuration A maximum of eight patients can be displayed on one monitor You will need a second monitor to view more than eight patients star geg tt Oe KO FIGURE 2 1 INITIAL SCREEN a Fields for patients 1 to 8 b Click to display the setup menus System Service and Exit Tools utilities for calculation conversion of METS heart rate reserve and treadmill parameters Help select to view the software version c Click to display the initial screen d Click to suppress alarms for the alarm acknowledge time see Alarm acknowledge time on page 47 e Click to display the patient setup assign patient admit new patients see Adding a Patient to the Database on page 14 create protocols see Configuring Training Protocols on page 19 f Click to start session f
51. se 2 Energy kJ Constant load increz Configuration of warmup phase 2 an Constant HR increa Duration Estimated 1 3 min 18 z w min 3 ma LI z Emir oration Estimated mm session only Select check box to transmit the ECG or clear check box r Training Phase Configuration of training phase M Duration 12 E min Maximum load 7 E w Training hr see page 27 Click to configure 105 Si 1 min treadmill protocols r Recovery Phase Configuration of recovery Duration EET 3 E min Reduce load to zi lt J w phase FIGURE 3 3 RAINING CONFIGURATION WINDOW 19 in see Configuration of Treadmill Protocols on page 28 2 B min eraoline Training Preparation Configuring Training Protocols BLOOD PRESSURE MEASUREMENT If ergometers with BP measurement systems are used the blood pressure can be measured automatically at fixed intervals for example every 4 minutes or the time for a measurement can be set individually To enable automatic BP measurements select the Measure BP every check box and determine the interval e g 4 minutes with the arrow buttons v Measure BP every 4 5 min To determine specific times for a measurement select Add position the mouse cursor on the graph C Add and left click the point on the time scale where a measurement is to occur To remove indi
52. tem in any way Risk of Poisoning Observe all information provided by the manufacturers of chemical products required for the use and care of the devices Always keep these chemical products in their original containers to avoid any confusion which may have severe consequences RF Interference Known RF sources such as cell phones radio or TV stations and two way radios may cause unexpected or adverse operation of the ERS System Check the performance before each use Caution Equipment Damage Before connecting the device to the power line check that the voltage and frequency ratings of your power line match the values indicated on the device nameplate Equipment Damage Make sure that viruses malware etc do not infect your PC check USB sticks for viruses before connecting them Equipment Damage Do not set up the PC or the ergometers in the direct vicinity of a window hain humidity and sunlight may damage the equipment Loss of Data Back up the program directory and the database directory as determined during installation every day to avoid loss of data Equipment Damage Set up the PC in a location which affords sufficient ventilation The ventilation openings must not be obstructed The ambient conditions stated in the user manual must be ensured at all times Equipment Configuration The PC should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the equipment
53. tient data import ENNEN 51 Patient Setup W0 E 15 Patient MM E 31 Potentially explosive atmospheres ENEE 7 PO WE SC Ol BE 6 PIL OY VG VY P 43 Print ol D j b men cree ere 43 Printing a single training EE 44 Printing a summary report 46 Printing ELO MM MM RaX_ E mn 45 Program Stai essiensa er e oyo 13 R Recovery phase configuration esses 27 Report NC o RE E 49 REVISION TNS ONY a 5 De gis CG TEN MN Kr hin Ka Km 8 S E UD 47 Setup Service dialog sees 49 S IL ue NEE 47 Lage 48 ISDEM EP vac een 48 Single training LE 44 SOT key p l Li Oli eee eer mn tale 36 Sp02 controlled training ett 24 Standard training Create wu csssesesesessssesssssesssssseseseseseseseseees 48 Start progra Rm 13 Summary grap tet 40 EEGEN 46 T HDB Ol RECHTE 52 A AG TO S D c 48 ee Viet MESURER RR 34 Treadmill protocol configuration 28 edain rug ERIN RE o o 35 Trend curves assign colors esses 48 Dipl PO 40 W Warmup phase configuration sss 22 UE let DR e 7 UE e PET ET c 6 ergoline nde For your notes 56
54. tress test Interes dueto Is lab HR wm a gt na KIC FIGURE 3 1 DIAGNOSTICS WINDOW 17 eraoline Training Preparation Diagnostic Data Option ii Williams 30 05 2011 te 8 M d S d z al lele p rRNm_ A BETI l Diagnostics summary Area for input of additional data or information BH ni I 3H FIGURE 3 2 PATIENT DATA WINDOW WITH DIAGNOSTICS SUMMARY 18 Training Preparation Configuring Training Protocols eraoline 3 2 CONFIGURING TRAINING PROTOCOLS Specific training protocols can be configured and saved for each patient e n the Patient Data window click Training to open the input window Training Dr Williams Christopher Load scale 100 200 175 150 Pulse rate scale e 100 25 50 25 Blood pressure scale Time the blood pressure is taken Click to close window Cancel iu LE and save training 0 Ei 12 protocol measurement options m Click to close window Add Remove v Measure BP every 4 zn without saving the r Training type Training type options es cus Constant load C Interval training data Start Training Click to print training Stop Training i i Warmup Phase 1 fal Prin p ro to CO Config u ration of warmu p o roConstant load of Duration 2 E min 15 E w TE CI ick to enter im comments during Warmup Pha
55. urrent View p rre Click to print ECG training notes IF current view only or Tring notes entire ECG with or without training notes 7 Print Summary 15 03 30 Summary Graph Date Borg a Load No Time Type Duration Weight 0 20 WP p RP WP TP se Max Load mie fen m Te Pelle ew T reme Dues foto Tet m T eee pue pe Jj omm mm om Top fe T8 mnm we m p pem pe oem omm om pr DR jw a E epe pepe oe m mm De L er T Tsa Ta Ta Ta omm Tom Tm Tu Ta pel af uer ps o pep pe omm us we D a P z7 zr T pe pe pe p omm Tom omm Tu E D ZI zer fe pep pe omm me mr D DT 25 10 2010 y m pee fete pom of e Click to view summary graph see next page FIGURE 5 1 TRAINING ANALYSIS 39 Wig fi eight 85 Kg E Borg 0 20 5 Click to print table with or without training notes 0 4 Export CSV Click to export data l Delete Summar Click to edit BP values Supplement edit table lick to delete training session eraoline Analyzing Training Sessions Summary Graph Trend 5 2 SUMMARY GRAPH TREND Summary Graph 225 w 200 1 min To view the summary graph click Summary Graph on the Training Analysis screen Figure 5 1 The summary graph provides trend information about the following parameters for a selectable period of time load heart rate blood pressure weight
56. utomatically check box is selected the pump of the electrode application system switches automatically on when a patient is assigned At Timeout you set the time after which the pump switches automatically off when no training is started for this particular patient NETWORK OPERATION Note e The ERS software can run on a network only if this option has been activated Set Application ID m Network Id If several computers will access the patient and Changes wil apply training data it is necessary to assign pad us a unique Application Id to each computer Enter this number in the Application ld field Note e fyou enter the same or no Application Id repeatedly or if you do not restart the ERS software after entry or change of the ID number data may be lost Setting the path for data storage By default the data are saved to the ergoline ERSArchive folder in the Program Files directory of the operating system depending on the Windows version and program language the name of the Program Files directory may be different e Click Expanded h Figure 6 2 to open the configuration window e Inthe Current data window click User defined e Click the folder icon to open Explorer and select the path Note e Theuser defined path will only be used after a restart of the ERS software Data stored in the default directory are no longer accessible after the path was changed GDT mode GDT German med
57. vidual measurement points select Remove Remove then click the measurement point Note e furthermore you can enter BP values measured off line see Operation via popup menu on page 38 e For information about editing and deleting incorrect BP values please refer to Editing Deleting BP Values on page 42 20 Training Preparation Configuring Training Protocols eraoline TRAINING TYPE For the training phase you can choose from three different training types Constant HR Constant load nterval training Each of the training types will be explained below For instructions concerning the configuration of the training phase for the different training types please refer to Configuration of Training Phase on page 23 CONSTANT HR The ergometer automatically adapts the load to keep the patient s pulse rate constantly at the target value during the training phase If the pulse exceeds the target value the load will be gradually reduced If the pulse drops the load will be increased Furthermore an upper limit for the load can be specified e g 70 watts Note e When the patient reaches the target pulse rate for the first time the load will immediately be reduced by 15 to allow the pulse to achieve the steady state Without the load reduction the training pulse would lag behind for 1 to 2 minutes and the load would be dramatically reduced e The percentage value can be modified by a service eng

Download Pdf Manuals

Related Search

Related Contents

  Samsung GT-E2550 User Manual  取扱説明書 - fujitsu general  NB6L11MMNGEVB Evaluation Board User`s Manual  NOV` 4 SAISONS tout parfum  Assignment 2 - Sequence-based predictions - Ping-Pong  German  Synology DX213 2-Bay NAS Expansion Unit Datasheet  Service Manual – TCTS Sweet Tea  Manual de instrucciones  

Copyright © All rights reserved. Failed to retrieve file